Doctor Name: | TRICIA KINSEY MASTERS |
NPI Number: | 1083706857 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, MSN, CPNP |
License Number: | 300332 |
Business Practice Address: | 1051 Harper Ave Sw Lenoir, NC - 286455092 |
Business Phone Number: | 8287546262 |
Business Fax Number: | 8287546265 |
Mailing Address: | 1051 Harper Ave Sw, LENOIR |
State: | NC |
Postal Code: | 286455092 |
Phone Number: | 8287546262 |
Fax Number: | 8287546265 |
NPI Enumeration Date: | 09/29/2006 |
NPI Last Update Date: | 01/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 300332 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |